A band-aid (Indian Express)
Mains Paper 2: Health
Prelims level: National Pharmaceutical Pricing Authority
Mains level: Research and Development requires in the pharma sector rather the
increase the essential price
Context:
- India’s drug regulator, the National Pharmaceutical Pricing Authority (NPPA),
used the public interest provision of the Drugs Prices Control Order 2013 to
allow manufacturers to increase prices of 21 essential drugs by as much as
50 per cent.
- Most of these drugs are used to treat critical diseases such as
tuberculosis, malaria and leprosy and are crucial to the country’s public
health programme.
Concerns over raising the drug price:
- The decision of the regulatory authority usually known to slash prices
of life-saving drugs was precipitated by an extraordinary situation.
- For nearly two years, drug manufacturers have been claiming inability to
keep up with the country’s healthcare demands due to increasing costs of
production.
- Easing the price ceiling could help the healthcare system tide over the
current crisis. It may, as the NPPA has reasoned, “pre-empt a situation
where the public is forced to switch to costlier alternatives”.
- But the drug regulator and the Department of Pharmaceuticals need to do
much more to address the root cause for the shortage of critical drugs.
Scenario of India’s pharma industry:
- India’s pharma industry imports more than 60 per cent of active
pharmaceutical ingredients (APIs) or bulk drugs — ingredients that give
medicine its therapeutic value — from China.
- In 2017, Chinese regulators cracked down on bulk drug manufacturing
units for their failure to comply with the country’s environmental
regulations.
- The revamped Chinese API industry has raised prices, leading to spin-off
effects in India. For instance, the cost of making Vitamin C pills has gone
up by more than 250 per cent since 2017.
- This has reportedly led to a 25-30 per cent shortage of this drug in
India.
- The pharma major, Abbot, applied to the NPPA to discontinue production
of the leprosy drug, Hansepran.
- The company pointed out that increasing costs of API imports had made
the production of Hansepran unviable in India.
Importance of making medicines accessible:
- The importance of making medicines more accessible to those who need
them cannot be overstated.
- Drug price control measures in India have not always achieved this
objective.
- The ceiling on prices of 74 bulk drugs in 1995, for example, forced many
companies to opt out of API production.
- The Draft Pharmaceutical Policy 2017 did propose correctives.
- These included giving preference to drugs produced from indigenously
produced APIs in government procurement and taking them out of price control
for five years.
- The draft talked about creating research and development facilities for
API production.
Conclusion:
- The policy has not gone beyond the draft stage. It needs to be revisited
in light of the country’s current medicine shortage.